| NPI | 1104861772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M HETTERICH Senior Director Of Finance Urmfg 585-756-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2022-08-09 |